OrganizationAqua Clinical Services IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address1490 W 49th Pl, Suite 340, Hialeah, FL 33012-3148(305) 244-3967PECOS EnrollmentBased on the most recent information from CMS, provider Aqua Clinical Services Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1629130323Provider TypeOrganizationFull NameAqua Clinical Services IncSubpartNoEnumeration Date12/16/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1490 W 49th Pl, Suite 340, Hialeah, FL 33012-3148Phone(305) 244-3967FaxUnlisted FaxMailing LocationMailing Address1490 W 49th Pl, Suite 340, Hialeah, FL 33012-3148Phone(305) 244-3967FaxUnlisted FaxAuthorized OfficialNameSabogal, Luz Mary (President)Phone(305) 244-3967Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer